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NPI Code Detail

MEDICARE: CODY LEGLER DNP, NP-BC

MEDICARE: CODY LEGLER DNP, NP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerR224624MD

General Provider Information

NPI Number : 1457818841
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY LEGLER DNP, NP-BC
Provider Business Mailing Address
First Line : 61 PIERCE ST NE UNIT 1035
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-2099
Country : US
Telephone Number : 920-889-9828
Fax Number :
Provider Business Practice Location Address
First Line : 9309 OLD GEORGETOWN RD
Second Line :
City : BETHESDA
State : MD
Zip : 20814-1620
Country : US
Telephone Number : 301-493-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2019
Last Update Date : 02/21/2019

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